Headspace Combined Request Form

Headspace request form

Thank you for your interest in a Headspace membership.

Headspace Request - New Account.

^{If you are the partner of a serving person you can get free access to Headspace as part of your spouse/partners account, using}^{Family plan to Headspace}^{. If your partner does not have a Headspace account, please complete the form with your name, surname and preferred email address, ensuring that you add your RAF partner's rank, service number and MoD email address.}

1 - Headspace request - New account

RAF connection

First name

Last name

Email address for Headspace

_{This email will be used to set up your Headspace account}

Your MOD email address:

Your partner's MOD email address:

_{Domain must be:}_@mod.gov.uk

Your service number:

Your partner's service number:

Your RAF Rank:

Your partner's RAF Rank:

How did you hear about us?

If 'Other', please state

By submitting this form, I confirm that I am a serving member of the Royal Air Force or the partner of someone serving in the Royal Air Force.

By ticking this box, I confirm that I am happy to be contacted via email.

If you don't currently have an MOD email address or you're having issues with your request, please email headspace@rafbf.org.uk.

For more information on how we manage your data, please see our privacy policy.

If you're having issues with your request, please email headspace@rafbf.org.uk.

For more information on how we manage your data, please see our privacy policy.

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